icd 10 code for gag reflex

by Dr. Meagan Marks Jr. 5 min read

R29. 2 - Abnormal reflex | ICD-10-CM.

How do you test gag reflex?

There is no standardization of how the gag reflex is tested:

  • Most texts recommend touching the posterior pharynx, but some recommend touching the back of the tongue. This makes a big difference. ...
  • The instrument used and amount of pressure applied to the pharynx isn't standardized. ...
  • The technique for testing a gag reflex in an intubated patient is even murkier. ...

What is a gag reflex and can you stop it?

Your gag reflex triggers your back throat (oropharynx) muscles to resist swallowing. This helps prevent you from choking and swallowing things that could be potentially harmful. Along with violent muscle spasms in your throat, gagging is often accompanied by abdominal muscle spasms and a feeling of nausea.

How do I suppress my gag reflex?

Other Useful Tips to Stop Gag Reflex

  • Avoid eating anything just before a procedure that may induce a gag reflex.
  • Look for exactly what triggers a gag reflex. ...
  • Maintain a diary to know exactly what triggers a gag reflex. ...
  • Be sure to keep your fingers away from your throat because that always causes gagging and heaving.

Do you have a bad gag reflex?

Some people have an overly sensitive gag reflex that can be triggered by things such as anxiety, postnasal drip, or acid reflux. Swallowing pills, oral sex, or a trip to the dentist’s office can also be troublesome for those with an overactive gag reflex. Keep reading to learn more about your gag reflex and what causes it.

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What is the ICD-10-CM code for abnormal reflex?

ICD-10 code R29. 2 for Abnormal reflex is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .

What is the ICD-10 code for throat clearing?

R09. 89 is an 'other specified' code which appropriate for symptoms that don't have a more specific code - it does not require that the patient have one of the symptoms listed under it in ICD-10 - those are just common symptoms that are classified to this code, not a complete list.

What is the ICD-10 code for oral Dysphagia?

R13. 11, Dysphagia, oral phase.

What is the ICD-10 code for choking?

Food in respiratory tract, part unspecified causing asphyxiation, initial encounter. T17. 920A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM T17.

What is the ICD-10 code for gagging?

R29. 2 - Abnormal reflex | ICD-10-CM.

What is diagnosis code R09 89?

ICD-10 code R09. 89 for Other specified symptoms and signs involving the circulatory and respiratory systems is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .

What is oral phase dysphagia?

Oral dysphagia refers to problems with using the mouth, lips and tongue to control food or liquid. Pharyngeal dysphagia refers to problems in the throat during swallowing. Dysphagia may lead to aspiration (where food or liquid gets into the lungs). Dysphagia can affect a person at any age, from infants to the elderly.

What is the ICD-10 code for aspiration?

ICD-10 code Y84. 4 for Aspiration of fluid as the cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure is a medical classification as listed by WHO under the range - Complications of medical and surgical care .

What is esophageal dysphagia?

Esophageal dysphagia. Esophageal dysphagia refers to the sensation of food sticking or getting caught in the base of your throat or in your chest after you've started to swallow. Some of the causes of esophageal dysphagia include: Achalasia.

What is the ICD 10 code for food stuck in throat?

Food in esophagus causing other injury, initial encounter T18. 128A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM T18. 128A became effective on October 1, 2021.

What is the ICD 10 code for aspiration of food?

0.

What is the ICD 10 code for dry heaving?

R19. 8 - Other specified symptoms and signs involving the digestive system and abdomen | ICD-10-CM.

The ICD code R292 is used to code Hyperreflexia

Hyperreflexia (or hyper-reflexia) is defined as overactive or overresponsive reflexes. Examples of this can include twitching or spastic tendencies, which are indicative of upper motor neuron disease as well as the lessening or loss of control ordinarily exerted by higher brain centers of lower neural pathways (disinhibition).

Coding Notes for R29.2 Info for medical coders on how to properly use this ICD-10 code

Type-2 Excludes means the excluded conditions are different, although they may appear similar. A patient may have both conditions, but one does not include the other. Excludes 2 means "not coded here."

ICD-10-CM Alphabetical Index References for 'R29.2 - Abnormal reflex'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code R29.2. Click on any term below to browse the alphabetical index.

Equivalent ICD-9 Code GENERAL EQUIVALENCE MAPPINGS (GEM)

This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that in all cases where the ICD9 code 796.1 was previously used, R29.2 is the appropriate modern ICD10 code.

What is swallowing symptom?

A symptom referring to difficulty in swallowing. It may be observed in patients with stroke, motor neuron disorders, cancer of the throat or mouth, head and neck injuries, parkinson disease, and multiple sclerosis. Difficulty in swallowing which may result from neuromuscular disorder or mechanical obstruction.

What are the two types of dysphagia?

Dysphagia is classified into two distinct types: oropharyngeal dysphagia due to malfunction of the pharynx and upper esophageal sphincter; and esophageal dysphagia due to malfunction of the esophagus. Difficulty in swallowing. Difficulty swallowing.

Policy

Aetna considers both fiberoptic endoscopy and videofluoroscopy medically necessary for evaluation of swallowing function.

Background

Oropharyngeal dysphagia is usually either a primary abnormality related to structural aberrations of the oropharynx or a secondary manifestation of neuromuscular disease. Causes for dysfunctional swallowing are protean. Both diagnosis and therapy of oropharyngeal dysphagia are based on functional assessment.

The above policy is based on the following references

Ajemian MS, Nirmul GB, Anderson MT, et al. Routine fiberoptic endoscopic evaluation of swallowing following prolonged intubation: Implications for management. Arch Surg. 2001;136 (4):434-437.

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